************************************************************************* If you wish to attend the conference, please send your name, institution and email address, no later than January 15/95: There is a nominal registration fee of $35/person. Name: ____________________________________________________ Institution: _____________________________________________ (Sponsoring institution to appear on name tag) Mailing Address: __________________________________________ __________________________________________ __________________________________________ __________________________________________ email: ____________________________________________________ Phone: (____)-_________________ Fax:(____)-________________ I have enclosed a cheque for $35 registration. Yes_____ Do you intend to make a presentation? Yes______ No_______ If YES, please note that the deadline for receipt of abstracts is January 28/95. Financial Assistance: Limited financial assistance will be available to graduate students only. If you are a graduate student and wish to be considered for financial assistance, please indicate in the space provided. (Graduate student support will be $50/day/student, as has been the case in past years.) Yes______ No_________ Date of Arrival ________________ Date of Departure:_______________ Please reserve my accommodation at Chateau Lake Louise __________ Single _______ Double_________ Twin Share________ shared with _________________________ OR please find me a room-mate for shared twin accommodation at the Chateau ______ M___ F____ smoker____ non-smoker____ I will be accompanied by ______ members of my family. If children under 18 will be accompanying you, please specify their ages______________ Have you included your deposit for first night? Yes____ No_____ If NO, indicate credit card to be charged: VISA_____ MasterCard_______ American Express_____ Expiry Date:_________________ Credit Card Number:_____________________________ Cardholder Name:________________________________ I will arrange my own accommodation: Yes______ (please tell us so we'll know) I require a special diet Yes _____ No ____ If yes, type _____________________(vegetarian, kosher, etc) Will you also be attending the Lake Louise Winter Institute? Yes___ No____ If YES, please fill out the appropriate separate registration form This form should be returned to arrive no later than January 15/95. (January 10 if you are requesting us to find you a room mate) (email: janis@physics.ubc.ca FAX: 604-822-5324 Attn: WRNPP, c/o Janis McKenna Canada Post: WRNPP, c/o Dr. J.McKenna Dept of Physics University of British Columbia Vancouver, BC, V6T 1Z1, Canada telephone: 604-822-4337